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NPI Code Detail

MEDICARE: ANDREW HERSEY

MEDICARE:   ANDREW  HERSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantNY

General Provider Information

NPI Number : 1346197431
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HERSEY
Provider Business Mailing Address
First Line : 33 LEWIS RD
Second Line :
City : BINGHAMTON
State : NY
Zip : 13905-1048
Country : US
Telephone Number : 607-770-0025
Fax Number :
Provider Business Practice Location Address
First Line : 4433 VESTAL PKWY E
Second Line :
City : VESTAL
State : NY
Zip : 13850-3556
Country : US
Telephone Number : 607-721-2220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ ANDREW HERSEY ” Practice Location

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